George M Henry, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

010955 Issued in GA

Practice address

300 Medical Dr
Suite 705
Lagrange, GA 30240-4155

Phone

(706) 885-0111

Fax

(706) 885-0607

NPI assigned

Mar 16, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1285603753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MEDICAL DR",
            "address_2": "SUITE 705",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404155",
            "telephone_number": "706-885-0111",
            "fax_number": "706-885-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL DR",
            "address_2": "SUITE 705",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404155",
            "telephone_number": "706-885-0111",
            "fax_number": "706-885-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "GEORGE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "010955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00437401G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tacara Nichole Hemingway, PMHNP-BC
• Kelsey S Henderson
• Warren J Henderson, MD
• Patsy Claudia Hendrix, TECHNICIAN
• Kathleen Hennrich
• Tony Sherrod Henry, B.S. P.P
• Kerri Forrester Hensarling, M.D.
• Aja Herndon
• Diana L Hess, CNP
• Kayleigh Hester, FNP-BC

• Specialist in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.